Circumcision clamp



July 21 1953 Patented July 21, 1953 UNITED STATES PATENT 'QFF'ICECIRCUMCISIQN CLAMP HarryO. Maryan, Chicago, Ill. 7 AppIication JanuaryB,1952, Serial No. 264,701

This invention relates to improvements in may be readily applied inposition for a circumcision operation and this in a manner providingample room for use of the surgeons knife in removing the prepuce.

Another object of the invention is toprovide a clamp of this kind,wherein the clamping action upon the prepuce adjacent the cervix of theglans is imposed with a uniform pressure, thus affording a rapidglutination between the prepuce and its membranouslining, therebyreducing bleeding to a minimum and the suturing often necessary aftersurgery.

Also it is an object of the/invention to provide a clamp of this kindwhich has a wide range of use, from infants to adults. 1

Again it is an object of the invention to provide a clamp of this kind,vwhich does not require the holding by hand of anypart thereof whenapplied for a circumcision operation, thus leaving both hands of thesurgeon free while performing, such operation.

The above mentioned objects of the invention, as well as others alongwith the advantages thereof will more fully appear as the specificationproceeds.

In the drawing:

Fig. 1 is a perspective view of the parts forming the improved clamparranged in the order, of their assembly;

Fig. 2 is a transverse vertical sectional view,

through a' part of the improved clamp, as taken on the line 2-2 of Fig.1 with-the parts in operative position upon the male organ, ready forsurgery in removing the prepuce.

Fig. 3 is a bottom view of the base plate of the clamp.

Fig. 4 is a view of one of a number'of glans receiving cups and stemtherefor forming a part of the clamp.

In general the improved clamp includes a base rallty of stemmed cups,each sized in diameter for use in an associated opening the stemmed 2Claims. (01. 128-346) 2 v cups being the same in length. Also associatedwith the base is an inverted U-shaped yoke that may be positioned foruse with a base plate opening of the selected size and up through whichthe stem of each cup extends so that it may be actuated to impart astraight upward pull thereon, and whereby the cup, in connection withthe flared opening in which it is engaged, coacts to uniformly clamp theprepuce and its membranous lining to afford a quick glutinate adhesionaround the zone of clamping pressure and which reduces to a minimum, ifnot completely eliminating bleeding after the surgical removal of theprepuce. I

Referring now in detail to that embodiment of the invention illustratedin the drawings, the improved clamp includes among its parts a rigidbase plateit? which as shown herein may be of an elongated shape withrounded ends. On the median line thereof are longitudinally spacedcircular openings iI-l2 and i3 respectively of different diameters andeach of which have downwardly and outwardly flaring pee ripheral walls il [i and it respectively. Laterally spaced at each side of each openingll, l2 and I3 respectively are pilot holes Hi. These pilot holes arearranged in the longitudinal margins of the base member, the pilot holesof each pair being spaced apart the same distance from the axis of theassociated openings ll, [2 and I3 respectively.

The improved clamp also includes an inverted U-shaped yoke l5 thatincludes a pair of laterally spaced upright legs Iii-iii that areconnected together at their top ends by a cross bar il. Centrally insaid bar is an unthreaded hole 38. The legs are spaced apart the samedistance as a transverse pair of pilot holes i l, the bottom end of eachleg being formed with an elongated foot i9 from which depends a stud 29that is adaptedto enter a pilot hole Hi. The yoke may be employed withany opening ii, l2 or it and its associated pair of pilot holes Hi. Whenso employed its studs 22! are engaged in said holes as in Fig. '2,portions of each foot then engaging upon parts of the top surface of thebase member longitudinally at each side of the associated pilot hole.

' hole It in its cross bar I! arranged in axial aline-v ment with theselected hole Il-l2 or l3 with Which it is to be used.

Associated with the base plate and yoke above describedis a plurality ofmembers 2|, one of which is shown in Fig. 4 in full lines, another bymeans of dotted lines and the third by means of dot and dash lines, andeach of which includes a bell like cup 22 that is open at the bottom andis provided with a cylindrical stem 23 at the top. All of the cups areof the same length from top to bottom and employ the same diameter inthe stem thereof, the upper end of which is threaded at 24. The diameterof the stem is such that it may pass through the opening in the crossbar ll of the yoke with a fairly snug fit as a sliding bearing. Each cup22 has a flared bottom portion 25 which is complemental to the flaredwall of the opening |2 or l3 with which the member is used. In the upperportion of each cup 22 is arvent opening 26. 2| differ primarily in thesize of the cup member 22, each cup being designed to cooperate withonly one of the openings I, i2, or l3.

When the selected member 2| is in operative relation to the base memberIn and yoke l5, the threaded upper portion of the stem 23 extends abovethe cross bar and a knob like nut 21 is applied thereto with a washer 28disposed between the base of this nut and the cross bar. The diameter ofthe flared end 25 of each cup is so correlated with respect to thediameter of the upper end of its associated opening |2 or 23 that itcannot pass upwardly through the same.

In the use of the clamp device above described, the member 2| having theproper size of cup is of course first selected, according to the size ofthe penis P to be operated upon. After cleansing the penis, if thepreputial orifice is too small two mosquito clamps are applied to thepreputial ring and the same is put on stretch. A suitably anointed probeis then passed between the prepuce and the glans G to break existingadhesion and free the prepuce from further retraction. The prepuce Pr isthen stretched forwardly and the orifice niched between the two clampsto provide a dorsal slit therein. The prepuce is then retracted orpushed back and the exposed glans again cleansed as with a saline spongeto remove smegma.

With the prepuce pushed back or retracted to the neck of the glans andback of the corona thereof, and after anointing the inside of the cup ofthe selected member 2|, it is placed over the glans, allowing parts ofthe mucous membrane of the prepuce to fit below the corona of the glans.In this fitting of the cone upon the glans, the air in advance of thelatter escapes out through the vent 26 of the cup to insure a goodcomplete fit between the glans and cup. The prepuce is now pulledforwardly and over upon the outer surface of the cup and at which timethe flare of the cup is engaged at the junction of the prepuce and thegland adjacent the corona of the latter.

With the member 2| so applied, the stem 23 of the member 2| is theninserted through the associated selected opening [2 or I3 in the baseplate from its flared bottom end. At this time the yoke I5 is applied tothe base member [0 by inserting the studs thereof into the pilot holesI4 associated with the selected opening and also at this time, the stem23 is passed through,

the hole IS in the cross bar ll of the yoke. Thereafter the washer 28 isdropped over the upper end of the stem (above the cross bar) and the nut21 then applied to said end of the stem.

By turning the nut in the proper direction, an upward straight lineaxial lift is imparted to the stem while at the same time the yokeisforced downwardly upon the base member. In this up- Thus the variousmembers ward movement of the stem, the flared bottom end of the cupapproaches more closely to the fiared beveled wall of the opening sothat the part of the prepuce disposed therebetween is subjected to auniform clamping action entirely about its circumference. This placessaid clamped portion of the prepuce under heavy pressure which cuts offthe supply of blood to the prepuce outwardly of the clamped part. Theparts are permitted to remain in this relationship for about fiveminutes, which is SllfilClBl'lt to glutinate the prepuce and its mucousmembrane and produce a blood free adhesion therebetween in the form of aband.

The excess of prepuce beyond said band is then ready for removal by thesurgeon who, using a sharp knifelike instrument, makes an annular slitcircumferentially about the base of the excess prepuce, following aboutthe upper end of the selected opening and cutting clear through theprepuce against the outer surface of the cup about a line forming thejunction of the flared end with the body of the cup.

Upon removal of the nut the clamp may be taken apart and the cup thereonwithdrawn downwardly and outwardly through the opening it beforeoccupied in the base member. Thereafter the cup is removed from theglans and proper dressings applied to the penis.

With the clamp made as described, it is to be noted that the clampingpull on the-member 2| is imposed thereon in a straight line axially ofthe stem of this member. This straight line action is important as itinsures a uniform clamping action in a band like area entirely about thebase of the'prepuce, insuring a complete substantially uniform bloodstoppage so that the prepuce and its mucous membrance will glutinateuniformly with an adhesion insuring but the minimum, if any, of bleedingafter the operation. Thus there is less danger of infection and healingquickly takes place without the usual soreness.

It is to be further noted that the parts may be readily cleansed andsterilized and that when said parts are in the applied assembledcondition both hands of the surgeon performing the operation are freefor that purpose.

It will also be observed that only one base, yoke, nut and washer arerequired for use in performing operations upon penises of differentsizes, it being necessary only to have the members 2| of differentsizes.

I claim:

1. A circumcision clamp embodying therein, a base member having adownwardly flared opening therein, a glans receiving cup having a flaredmargin at its bottom end for coacting with the wall of said opening inclamping therebetween the base of the prepuce adjacent its junction withsaid glans, a stem extending from the top of said cup, a yoke-likemember adapted for detachable engagement with said base member whenarranged perpendicularly thereto and including laterally spaced legs anda part connecting said legs at the top, coacting means providing a studand recess interengagement between the bottom ends of said legs and saidbase member respectively, permitting a separation and an engagementt'herebetween in the direction of the axis of the stem, and a memberengaged with but separable from said leg connecting part of saidyoke-like member and from the top end of said stem and operative whenturned in one direction to impart an upward axial lift to the stem tomove the margin of said cup into prepuce clamping cooperation with saidwall of said opening and to move said yoke member toward and for holdingthe same in operative position upon said base member.

2. A circumcision clamp embodying therein, a base member having adownwardly flaring opening therein and a pair of recesses in the topsurface thereof spaced outwardly from the periphery of said opening, aglans receiving cup having a flared margin at its bottom end forcoacting with the wall of said opening in clamping therebetween the baseof the prepuce adjacent its junction with said glans, a stem extendingfrom the top of the cup, a yoke-like member adapted for detachableengagement with said base member when arranged perpendicularly theretoand including laterally spaced legs and a part connecting said legs atthe top, studs on the bottom end of said legs for engagement in saidrecesses permitting a separation and an engagement therebetween in thedirection of the axis of said stem, and a member engaged with andseparable from said leg connecting part of the yoke-like member and fromthe top of the stem and operative when turned in one direction toimpartan upward axial lift to the stem to move the margin of the cup intoprepuce clamping cooperation with said Wall of said opening and to movesaid yoke member toward and for holding the same in operative positionupon said base member.

HARRY O. MARYAN.

References Cited in the file of this patent UNITED STATES PATENTS Number7 Name Date 2,296,594 Blais Sept. 22, 1942 2,471,364 De Palo May 31,1949

